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乳铁蛋白和乳过氧化物酶片对成年人牙龈健康的影响:一项随机、双盲、安慰剂对照的临床试验。

Effect of tablets containing lactoferrin and lactoperoxidase on gingival health in adults: A randomized, double-blind, placebo-controlled clinical trial.

机构信息

Food Ingredients & Technology Institute, R&D Division, Morinaga Milk Industry Co., Ltd., Zama, Japan.

Department of Oral Microbiology, Faculty of Dentistry, Matsumoto Dental University, Shiojiri, Japan.

出版信息

J Periodontal Res. 2019 Dec;54(6):702-708. doi: 10.1111/jre.12679. Epub 2019 Jul 10.

Abstract

OBJECTIVE

To evaluate the effect of tablets containing lactoferrin (LF) and lactoperoxidase (LPO) on gingival health and oral health-related quality of life in healthy adults.

BACKGROUND

Lactoferrin and LPO are host defense factors found in saliva that may contribute to oral health.

MATERIALS AND METHODS

One hundred and fifty adults were randomly assigned to the administration of high-dose tablets (LF 60 mg/d, LPO 7.8 mg/d), low-dose tablets (LF 20 mg/d, LPO 2.6 mg/d), or placebo tablets for 12 weeks. The gingival index (GI) and plaque index (PlI) were measured at baseline and after 12 weeks. Oral health-related quality of life was assessed by the Oral Health Impact Profile (OHIP) at baseline and at 4, 8, and 12 weeks.

RESULTS

One hundred and nine healthy subjects were included in the efficacy analysis. In the high-dose group, the GI was significantly reduced after 12 weeks of treatment, and the reduction in GI in the high-dose group was significant compared with the placebo group. In both the high-dose group and the low-dose group, PlI showed a significant decrease at 12 weeks compared with baseline. The total OHIP score was significantly reduced at 12 weeks in the high-dose group. In addition, the OHIP functional limitation subscale displayed significant improvement in the high-dose groups compared with the placebo group at 12 weeks. No adverse reactions or serious adverse events related to the test tablets were observed in any of participants during the study, and the incidence of adverse events unrelated to the tablets did not differ significantly among the groups.

CONCLUSION

These results suggest that intake of tablets containing LF (60 mg/d) and LPO (7.8 mg/d) can potentially improve gingival inflammation and oral health-related quality of life in healthy adults.

摘要

目的

评估乳铁蛋白(LF)和乳过氧化物酶(LPO)片剂对健康成年人牙龈健康和口腔健康相关生活质量的影响。

背景

乳铁蛋白和 LPO 是唾液中发现的宿主防御因子,可能有助于口腔健康。

材料和方法

150 名成年人被随机分配至高剂量片剂(LF 60mg/d,LPO 7.8mg/d)、低剂量片剂(LF 20mg/d,LPO 2.6mg/d)或安慰剂片剂组,治疗 12 周。在基线和 12 周时测量牙龈指数(GI)和菌斑指数(PlI)。在基线和 4、8 和 12 周时使用口腔健康影响概况(OHIP)评估口腔健康相关生活质量。

结果

109 名健康受试者纳入疗效分析。高剂量组治疗 12 周后 GI 显著降低,且与安慰剂组相比,高剂量组 GI 降低有统计学意义。高剂量组和低剂量组在 12 周时 PlI 均较基线显著降低。高剂量组在 12 周时总 OHIP 评分显著降低。此外,高剂量组的 OHIP 功能受限亚量表在 12 周时与安慰剂组相比显示出显著改善。在研究期间,任何参与者均未观察到与试验片剂相关的不良反应或严重不良事件,且与片剂无关的不良事件的发生率在各组间无显著差异。

结论

这些结果表明,摄入含有 LF(60mg/d)和 LPO(7.8mg/d)的片剂可能有助于改善健康成年人的牙龈炎症和口腔健康相关生活质量。

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